The rs6435156 TT was associated with greater risk of COPD in smokers than in non-smokers.
Cigarette smokers with rs6435156 TT were more susceptible to COPD than those with CC genotype.
The T genotype of rs6435156 inhibited BMPR2 expression in PBMCs and lung epithelial cells.
The rs6435156 T is the functional binding site for miR-20a.
COPD is characterized by abnormal inflammation and structural remodeling in the airway. Bone morphogenetic protein receptor type 2 (BMPR2) mediated signaling has been demonstrated to regulate pro-inflammatory responses in vasculature, and decreased expression of BMPR2 was found in COPD lungs; however the relationship of BMPR2 to COPD is unknown. We found that rs6435156 TT was the functional binding site for miR-20a in 3′UTR of BMPR2 and significantly increased risk of COPD in southern Chinese population; rs6435156C > T could modulate the susceptibility to COPD by interacting with cigarette smoking, which down-regulated BMPR2 expression dependent in hsa-miR-20a.